The hallmark symptom of binge eating disorder is recurring episodes of bingeing, or eating excessive amounts of food at one time, without associated purging behaviors like vomiting, exercising, or medication abuse. Other symptoms include eating when under stress, feeling as if one is starving, rapid eating, and taking longer than normal to feel full. Shame, eating alone, depression, and guilt feelings can be associated with bingeing or may occur afterward. Feelings of distress related to the behavior are common. If binge eating persists over time, overweight and obesity may result.